5 of the Many Reasons to Try TheraCal LC
TheraCal LC, a light-cured, resin-modified calcium silicate is ideal for direct and indirect pulp capping and for use as a protective base/liner. It has received eight product awards, including a 2017 Product Award from the Dental Advisor and a 4.2 out of 5 by our very own Dental Product Shopper Evaluators! 93% of TheraCal evaluators said they would definietly recommend it to their colleagues.
TheraCal LC can be used in place of calcium hydroxide, glass ionomers, RMGI, IRM/ZOE, and other such restorative materials. It creates a barrier and protects the dental pulpal complex.
Designed to be used in all deep cavity preparations, it has a light-cured set that makes it ideal for immediate placement and condensation of the material. Its formulation—tricalcium silicate particles in a hydrophilic monomer with an alkaline pH—stimulates hydroxyapatite.1,2 TheraCal LC thereby forms a secondary dentin bridge2,3 by releasing calcium, which leads to formation of a protective seal5,7,8 while insulating the pulp5,6 and reducing sensitivity.
TheraCal LC is easy to handle, with a creamy consistency much like a flowable composite that is very spreadable but also will stay put.
It was described as being able to cling to axial walls without running by The Dental Advisor evaluators, who also noted that it could be placed immediately after the liner without disturbing it. Ninety percent of the evaluators rated it better than their current pulp capping and base/liner material, and 100% would recommend it.
One of the Dental Product Shopper evaluators who tried TheraCal LC called it “a lifesaver,” and said he especially liked the ease of use. DPS evaluators also liked the delivery system, its viscosity, and the fact that it’s a one-component, one-step system.
Additionally, TheraCal LC has been demonstrated to be a uniquely stable and durable material when used as a liner or base.
So, there are at least five reasons to try TheraCal LC in addition to its handling properties and reliability:
1. Calcium release and hydroxyapatite formation1,2
2. Alkaline pH, which promotes healing and apatite formation2,4
3. Promotes healing1 by insulating the pulp3 and providing virtually no postoperative sensitivity
4. Insulation of the pulp with a protective barrier5,6
5. Moisture tolerance1 when placed under cements and restorative materials.
1. Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping . International Endodontic Journal. 2012 Jun;45(6):571-9.
2. ADA definitions for direct and indirect pulp capping at: www.ada.org/en/publications/cdt/glossary-of-dental-clinical-and-administrative-ter
3. Apatite-forming Ability of TheraCal Pulp-Capping Material, M.G. GANDOLFI, F. SIBONI, P. TADDEI, E. MODENA, and C. PRATI J Dent Res 90 (Spec Iss A):abstract number 2520, 2011 (www.dentalresearch.org)
4. Okabe T, Sakamoto M, Takeuchi H, Matsushima K (2006) Effects of pH on mineralization ability of human dental pulp cells. Journal of Endodontics 32, 198-201.
5. Sangwan P; Sangwan A; Duhan J; Rohilla A. Tertiary dentinogenesis with calcium hydroxide: a review of proposed mechanisms. Int Endod J. 2013; 46(1):3-19
6. Selcuk SAVAS, Murat S. BOTSALI, Ebru KUCUKYILMAZ, Tugrul SARI. Evaluation of temperature changes in the pulp chamber during polymerization of light-cured pulp-capping materials by using a VALO LED light curing unit at different curing distances. Dent Mater J. 2014;33(6):764-9.
7. Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent. 2015 Winter;39(2):143-8.
8. Mechanical Properties of New Dental Pulp-Capping Materials Over Time. M. NIELSEN, R. VANDERWEELE, J. CASEY, and K. VANDEWALLE, USAF, JBSA-Lackland, TX, , J Dent Res 93(Spec Iss A): 495, 2014 (www.dentalresearch.org)